Bernardita R Enriquez, MD is a
Pediatrics physician based in Rock Island, Illinois. Bernardita R Enriquez is licensed to practice in Illinois (license number 036-066809) and her current practice location is 2750 11th St, Rock Island, Illinois. She can be reached at her office (for appointments etc.) via phone at
(563) 327-2100.
NPI number for Bernardita R Enriquez is 1952395972 and her current mailing address is 500 W River Dr, Davenport, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952395972.
Physician's Profile
| Full Name | Bernardita R Enriquez |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
|---|
| Location | 2750 11th St, Rock Island, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1952395972
- Provider Enumeration Date: 09/06/2005
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Bernardita R Enriquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952395972 | NPI | - | NPPES |
| 421060724 | Other | IA | BILLING TAX ID# FOR CHC |
| 0568980 | Medicaid | IA | |
| 421606724A5 | Other | IL | JOHN DEERE HEALTH |
| 0568998 | Medicaid | IA | |
| 421060724005 | Medicaid | IL | |
| 036066809 | Medicaid | IL | |
| 8122859 | Other | IL | ILLINOIS BC/BS |
| 93612 | Other | IA | IOWA BC/BS SEEN IN RI |
| 093469 | Other | | HEALTH ALLIANCE # |
| 336031012 | Other | IL | CONTROLLED SUBSTANCE # |
| IL01A5 | Other | IL | JOHN DEERE EDI# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 036-066809 (Illinois) | Primary |
| 208000000X | Pediatrics | 34871 (Iowa) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 036-066809 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bernardita R Enriquez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bernardita R Enriquez, MD
500 W River Dr,
Davenport, IA 52801-1014
Ph: (563) 336-3000 | Bernardita R Enriquez, MD
2750 11th St,
Rock Island, IL 61201-5216
Ph: (563) 327-2100 |
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